{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T00:05:40Z","timestamp":1793232340841,"version":"4.5.0"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T00:00:00Z","timestamp":1716508800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T00:00:00Z","timestamp":1716508800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Br Dent J"],"published-print":{"date-parts":[[2024,5,24]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>As utilisation of dental implants continues to rise, so does the incidence of biological complications. When peri-implantitis has already caused extensive bone resorption, the dentist faces the dilemma of which therapy is the most appropriate to maintain the implant. Since non-surgical approaches of peri-implantitis have shown limited effectiveness, the present paper describes different surgical treatment modalities, underlining their indications and limitations. The primary goal in the management of peri-implantitis is to decontaminate the surface of the infected implant and to eliminate deep peri-implant pockets. For this purpose, access flap debridement, with or without resective procedures, has shown to be effective in a large number of cases. These surgical treatments, however, may be linked to post-operative recession of the mucosal margin. In addition to disease resolution, reconstructive approaches also seek to regenerate the bone defect and to achieve re-osseointegration.<\/jats:p>","DOI":"10.1038\/s41415-024-7405-9","type":"journal-article","created":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T06:01:31Z","timestamp":1716530491000},"page":"803-808","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["Surgical treatment of peri-implantitis"],"prefix":"10.1038","volume":"236","author":[{"given":"Mario","family":"Roccuzzo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davide","family":"Mirra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Roccuzzo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,5,24]]},"reference":[{"key":"7405_CR8053","doi-asserted-by":"crossref","unstructured":"Salvi G E, St\u00e4hli A, Imber J C et al. Physiopathology of peri-implant diseases. Clin Implant Dent Relat Res 2023; 25: 629-639.","DOI":"10.1111\/cid.13167"},{"key":"7405_CR8055","doi-asserted-by":"crossref","unstructured":"Figuero E, Graziani F, Sanz I et al. Management of peri-implant mucositis and peri-implantitis. Periodontol 2000 2014; 66: 255-273.","DOI":"10.1111\/prd.12049"},{"key":"7405_CR8058","doi-asserted-by":"crossref","unstructured":"Roccuzzo A, Klossner S, St\u00e4hli A et al. Non-surgical mechanical therapy of peri-implantitis with or without repeated adjunctive diode laser application. A 6-month double-blinded randomized clinical trial. Clin Oral Implants Res 2022; 33: 900-912.","DOI":"10.1111\/clr.13969"},{"key":"7405_CR8060","doi-asserted-by":"crossref","unstructured":"Cosgarea R, Roccuzzo A, Jepsen K et al. Efficacy of mechanical\/physical approaches for implant surface decontamination in non-surgical submarginal instrumentation of peri-implantitis. A systematic review. J Clin Periodontol 2023; 50: 188-211.","DOI":"10.1111\/jcpe.13762"},{"key":"7405_CR8062","doi-asserted-by":"crossref","unstructured":"Herrera D, Berglundh T, Schwarz F et al. Prevention and treatment of peri-implant diseases - The EFP S3 level clinical practice guideline. J Clin Periodontol 2023; 50: 4-76.","DOI":"10.1111\/jcpe.13823"},{"key":"7405_CR8065","doi-asserted-by":"crossref","unstructured":"Roccuzzo A, De Ry S P, Sculean A. Current Approaches for the Non-surgical Management of Peri-implant Diseases. Current Oral Health Reports 2020; 7: 274-282.","DOI":"10.1007\/s40496-020-00279-x"},{"key":"7405_CR8067","unstructured":"Monje A, Amerio E, Cha J K et al. Strategies for implant surface decontamination in peri-implantitis therapy. Int J Oral Implantol 2022; 15: 213-248."},{"key":"7405_CR8069","doi-asserted-by":"crossref","unstructured":"Schlee M, Wang H L, Stumpf T et al. Treatment of Periimplantitis with Electrolytic Cleaning versus Mechanical and Electrolytic Cleaning: 18-Month Results from a Randomized Controlled Clinical Trial. J Clin Med 2021; 10: 3475.","DOI":"10.3390\/jcm10163475"},{"key":"7405_CR8072","doi-asserted-by":"crossref","unstructured":"Roccuzzo A, St\u00e4hli A, Monje A, Sculean A, Salvi G E. Peri-Implantitis: A Clinical Update on Prevalence and Surgical Treatment Outcomes. J Clin Med 2021; 10: 1107.","DOI":"10.3390\/jcm10051107"},{"key":"7405_CR8074","doi-asserted-by":"crossref","unstructured":"Ramanauskaite A, Cafferata E A, Begic A et al. Surgical interventions for the treatment of peri-implantitis. Clin Implant Dent Relat Res 2023; 25: 682-695.","DOI":"10.1111\/cid.13162"},{"key":"7405_CR8076","doi-asserted-by":"crossref","unstructured":"Schwarz F, Jepsen S, Obreja K et al. Surgical therapy of peri-implantitis. 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